Ballot results for the candidate by precinct
| Candidate | Samuś Adam Franciszek |
| Age | 46 |
| Address and endorsements | Lipiny |
| Constituency no. | 10 |
| Number of votes for the candidate | 50 |
| % of valid votes for the candidate | 17.99% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Gózd
| 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 | Publiczne Gimnazjum w Goździe ul. Starowiejska 130 | 39 |
24.84% 
|
39 |
100.00%
|
| 5 | Publiczna Szkoła Podstawowa w Podgórze | 11 |
9.09%
|
11 |
100.00%
|