Ballot results for the candidate by precinct
| Candidate | Sampoliński Jerzy |
| Age | 53 |
| Address and endorsements | Kozienice |
| Constituency no. | 2 |
| Number of votes for the candidate | 41 |
| % of valid votes for the candidate | 1.05% |
| Number of votes for the list | 1026 |
| % of votes for the candidate relating to votes for the list | 4.00% |
| Mandate | No |
gm. Kozienice
| 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 * |
|---|---|---|---|---|---|
| 6 | Liceum Ogólnokształcące w Kozienicach | 6 |
0.76% 
|
190 |
3.16%
|
| 8 | K.C.K.R. i S. - Dom Kultury, ul. 1 Maja 8 w Kozienicach | 6 |
0.68%
|
270 |
2.22%
|
| 9 | Publiczne Gimnazjum Nr 1 w Kozienicach | 8 |
1.14%
|
159 |
5.03%
|
| 10 | Publiczne Przedszkole Nr 4 w Kozienicach | 4 |
0.67%
|
122 |
3.28%
|
| 11 | Publiczna Szkoła Podstawowa Nr 1 w Kozienicach | 15 |
3.58%
|
134 |
11.19%
|
| 12 | Publiczne Gimnazjum Nr 1 w Kozienicach | 2 |
0.41%
|
151 |
1.32%
|
| 23 | Dom Pomocy Społecznej dla Dorosłych w Kozienicach | 0 | — | 0 | — |