Ballot results for the candidate by precinct
| Candidate | Sacha Roman |
| Age | 47 |
| Address and endorsements | Łysa Góra |
| Constituency no. | 5 |
| Number of votes for the candidate | 221 |
| % of valid votes for the candidate | 25.37% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Dębno
| 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 * |
|---|---|---|---|---|---|
| 4 | Szkoła Podstawowa w Łysej Górze | 218 |
34.99% 
|
218 |
100.00%
|
| 8 | Szkoła Podstawowa w Jaworsku | 3 |
1.21%
|
3 |
100.00%
|