Ballot results for the candidate by precinct
| Candidate | Szustak Jan |
| Age | 62 |
| Address and endorsements | Przyjmo |
| Constituency no. | 5 |
| Number of votes for the candidate | 104 |
| % of valid votes for the candidate | 22.37% |
| Number of votes for the list | 0 |
| % of votes for the candidate relating to votes for the list | — |
| Mandate | Yes |
gm. Miedziana Góra
| 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 | Szkoła Podstawowa w Ćmińsku | 104 |
22.37% 
|
159 |
65.41%
|