 
| gm. Czarna Białostocka, Precinct no. 3, Constituency no. 4 | |
| Council name | Rada Miejska Czarnej Białostockiej | 
| Constituency | Constituency no. 4 | 
| Precinct | Precinct no. 3 | 
| Electoral Commission Regional Headquarters | Szkoła Podstawowa Nr 2, ul. R. Traugutta 28, Czarna Białostocka | 
| Number of electors | 741 | 
| Number of dispensed ballot cards | 316 | 
| Number of valid ballot cards | 316 | 
| Number of votes valid | 305 | 
| Number of votes invalid | 11 | 
| Number of dispensed ballot cards for plenipotentiaries | 2 | 
| Protocol date | 22-11-2010 02:40 | 
| List no. 12 - KOMITET WYBORCZY WYBORCÓW NIEZALEŻNE FORUM LOKALNE | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kułak Anna | 102 | 33,44% | |
| List no. 13 - KOMITET WYBORCZY WYBORCÓW "PRZYSZŁOŚĆ" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Woronko Małgorzata Grażyna | 79 | 25,90% | |
| List no. 14 - KOMITET WYBORCZY WYBORCÓW NOWOCZESNA GMINA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Pietrasz Marta | 78 | 25,57% | |
| List no. 20 - KOMITET WYBORCZY WYBORCÓW JAROSŁAWA KOCHANOWSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Kochanowski Jarosław | 46 | 15,08% | |