Ballot results for the candidate by precinct
| Candidate | Kapusta Roman |
| Age | 49 |
| Address and endorsements | Srebrna |
| Constituency no. | 4 |
| Number of votes for the candidate | 84 |
| % of valid votes for the candidate | 17.72% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Szumowo
| 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 | Gminny Ośrodek Kultury w Szumowie, ul.XXX-lecia 2 | 73 |
18.07% 
|
263 |
27.76%
|
| 2 | Zespół Szkół w Szumowie, ul. Szkolna 14 | 11 |
15.71%
|
39 |
28.21%
|