| gm. Pielgrzymka, Precinct no. 5 |
| Vote on 21-11-2010 | |
| Office | Wójt Gminy Pielgrzymka |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Sala Gimnastyczna, Sędzimirów 47 |
| Number of electors | 341 |
| Number of dispensed ballot cards | 176 |
| Number of valid ballot cards | 176 |
| Number of votes valid | 169 |
| Number of votes invalid | 7 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:42 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Sybis Tomasz Jacek | 36 | wyższe | Czaple, submitted by KOMITET WYBORCZY WYBORCÓW TOMASZ SYBIS GOSPODARNA GMINA, not a member of any political party | 150 | 19 | 88,76% | |