| General information | 
| Name | KOMITET WYBORCZY STOWARZYSZENIE "FORUM SAMORZĄDOWE" | 
| Abbreviation | KW STOWARZYSZENIE "FORUM SAMORZĄDOWE" | 
| Signature | DOL-7502-5/10 | 
| Address | ul. M. Reja 28, 12-100, Szczytno | 
| Status | Zarejestrowany | 
| List indication | KOMITET WYBORCZY STOWARZYSZENIE "FORUM SAMORZĄDOWE" | 
| Candidates total | 3 | 
| Youngest candidate | 24 | 
| Oldest candidate | 46 | 
| Average age of candidate | 35 | 
| Number of women / men | 3 / 0 | 
| Percent of women / men | 100% / 0% |