| gm. Ksawerów, Precinct no. 5, Constituency no. 4 | |
| Council name | Rada Gminy Ksawerów |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa w Woli Zaradzyńskiej, ul. majora Hubala 55, Wola Zaradzyńska |
| Number of electors | 948 |
| Number of dispensed ballot cards | 410 |
| Number of valid ballot cards | 410 |
| Number of votes valid | 392 |
| Number of votes invalid | 18 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 01:56 |
| List no. 16 - KOMITET WYBORCZY WYBORCÓW KSAWERÓW RAZEM | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Nawrot Agnieszka Violetta | 80 | 20,41% | |
| 2 | Jabłońska Anna | 84 | 21,43% | |
| 3 | Osiński Tomasz Jan | 114 | 29,08% | |
| 4 | Marciniak Sylwester Roman | 54 | 13,78% | |
| List no. 17 - KOMITET WYBORCZY WYBORCÓW MARII KOPCZEWSKIEJ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Grala Tadeusz | 118 | 30,10% | |
| 2 | Nowak Henryk Władysław | 89 | 22,70% | |
| 3 | Szcześniak-Rydz Anna Bożenna | 172 | 43,88% | |
| 4 | Świątkowska Urszula Maria | 157 | 40,05% | |
| List no. 18 - KOMITET WYBORCZY WYBORCÓW AGNIESZKI OLIBROWSKIEJ | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Olibrowska Agnieszka | 81 | 20,66% | |
| List no. 21 - KOMITET WYBORCZY WYBORCÓW BOGDANA DUBLEWSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Dublewski Bogdan | 24 | 6,12% | |