Ballot results for the candidate by precinct
| Candidate | Kępa Henryk Władysław |
| Age | 55 |
| Address and endorsements | Czarne |
| Constituency no. | 3 |
| Number of votes for the candidate | 83 |
| % of valid votes for the candidate | 12.61% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | No |
gm. Czarne
| 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 * |
|---|---|---|---|---|---|
| 3 | Budynek po byłym internacie garnizonowym w Czarnem ul. Świerczewskiego 3 | 83 |
13.34% 
|
83 |
100.00%
|
| 10 | Dom Pomocy Społecznej w Czarnem | 0 | — | 0 | — |
| 11 | Zakład Karny w Czarnem ul. Pomorska 1 | 0 | — | 0 | — |