| gm. Jasień, Precinct no. 4, Constituency no. 4 | |
| Council name | Rada Powiatu Żarskiego |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Golin |
| Number of electors | 831 |
| Number of dispensed ballot cards | 429 |
| Number of valid ballot cards | 429 |
| Number of votes valid | 367 |
| Number of votes invalid | 62 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 05:22 |
| List no. 1 - KOMITET WYBORCZY SOJUSZ LEWICY DEMOKRATYCZNEJ | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | KUŁDOSZ WIKTOR | 4 | 1,09% | 8,70% | |
| 2 | JEZIORSKI BARTŁOMIEJ ROLAND | 0 | 0,00% | 0,00% | |
| 3 | JAŚKIEWICZ MAŁGORZATA ANNA | 0 | 0,00% | 0,00% | |
| 4 | NOWECKA-BĄK LUCYNA | 2 | 0,54% | 4,35% | |
| 5 | PIĄTKOWSKI HENRYK | 15 | 4,09% | 32,61% | |
| 6 | MUCHA LIDIA WŁADYSŁAWA | 7 | 1,91% | 15,22% | |
| 7 | BIAŁKOWSKI ZYGMUNT FLORIAN | 2 | 0,54% | 4,35% | |
| 8 | TRAWIŃSKI JERZY | 8 | 2,18% | 17,39% | |
| 9 | ZAWISTOWSKI JACEK ROBERT | 0 | 0,00% | 0,00% | |
| 10 | RAFALSKI RAFAŁ | 8 | 2,18% | 17,39% | |
| Totalling | 46 | 12,53% | |||
| List no. 2 - KOMITET WYBORCZY POLSKIE STRONNICTWO LUDOWE | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | KONIECZNA WIOLETTA BARBARA | 4 | 1,09% | 33,33% | |
| 2 | KSIUK-KURSA SYLWIA MARIA | 2 | 0,54% | 16,67% | |
| 3 | KACZMARCZYK GRAŻYNA MARIA | 1 | 0,27% | 8,33% | |
| 4 | MUKOID MAŁGORZATA | 1 | 0,27% | 8,33% | |
| 5 | TECŁAW ROBERT BOGUMIŁ | 2 | 0,54% | 16,67% | |
| 6 | KSIUK PIOTR FRANCISZEK | 2 | 0,54% | 16,67% | |
| Totalling | 12 | 3,27% | |||
| List no. 4 - KOMITET WYBORCZY PLATFORMA OBYWATELSKA RP | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | MAZURKIEWICZ ROMAN | 2 | 0,54% | 1,08% | |
| 2 | SZAFRAŃSKI BENEDYKT SYLWESTER | 0 | 0,00% | 0,00% | |
| 3 | DYNOWSKI GRZEGORZ BOGDAN | 44 | 11,99% | 23,78% | |
| 4 | WESOŁOWSKI JÓZEF STANISŁAW | 0 | 0,00% | 0,00% | |
| 5 | ŁAZARSKI ZBIGNIEW TADEUSZ | 4 | 1,09% | 2,16% | |
| 6 | SZEWCZYK ANNA MARIOLA | 42 | 11,44% | 22,70% | |
| 7 | ANDRZEJEWSKI JERZY | 1 | 0,27% | 0,54% | |
| 8 | KUŹMIAK WŁADYSŁAWA | 1 | 0,27% | 0,54% | |
| 9 | KULINIAK PIOTR | 0 | 0,00% | 0,00% | |
| 10 | KIEWLICZ SŁAWOMIR EDWARD | 91 | 24,80% | 49,19% | |
| Totalling | 185 | 50,41% | |||
| List no. 5 - KOMITET WYBORCZY PRAWO I SPRAWIEDLIWOŚĆ | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | JUREK ZBIGNIEW | 16 | 4,36% | 61,54% | |
| 2 | MAZURENKO STANISŁAW | 3 | 0,82% | 11,54% | |
| 3 | KORCZYŃSKA JOANNA | 7 | 1,91% | 26,92% | |
| 4 | OKRASA JANUSZ TADEUSZ | 0 | 0,00% | 0,00% | |
| Totalling | 26 | 7,08% | |||
| List no. 11 - KOMITET WYBORCZY FORUM SAMORZĄDOWE MIAST I GMIN POWIATU ŻARSKIEGO | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | WOLAŃSKI MICHAŁ FRANCISZEK | 63 | 17,17% | 64,29% | |
| 2 | WAWRZYNIAK ELŻBIETA ROMUALDA | 6 | 1,63% | 6,12% | |
| 3 | ZAWADA ZBIGNIEW EDWARD | 1 | 0,27% | 1,02% | |
| 4 | FRANKOWSKI ROMAN CZESŁAW | 4 | 1,09% | 4,08% | |
| 5 | KROMP-MYŚLIWIEC AGATA MAŁGORZATA | 0 | 0,00% | 0,00% | |
| 6 | KAMYSZEK ANDRZEJ ROMAN | 24 | 6,54% | 24,49% | |
| Totalling | 98 | 26,70% | |||