Ballot results for the candidate by precinct
| Candidate | Koza Tadeusz Józef |
| Age | 56 |
| Address and endorsements | Golcowa |
| Constituency no. | 4 |
| Number of votes for the candidate | 395 |
| % of valid votes for the candidate | 50.71% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Domaradz
| No. | Address | Number of votes | % of valid votes* | Number of votes for the list | % of votes for the candidate relating to votes for the list * |
|---|---|---|---|---|---|
| 1 | Zespół Szkół w Baryczy | 17 |
54.84% 
|
49 |
34.69%
|
| 5 | Szkoła Podstawowa Nr 1 w Golcowej | 244 |
51.69%
|
1126 |
21.67%
|
| 6 | Szkoła Podstawowa Nr 2 w Golcowej | 134 |
48.55%
|
598 |
22.41%
|