 
| gm. Trzebielino, Precinct no. 1, Constituency no. 4 | |
| Council name | Rada Gminy Trzebielino | 
| Constituency | Constituency no. 4 | 
| Precinct | Precinct no. 1 | 
| Electoral Commission Regional Headquarters | Urząd Gminy w Trzebielinie, Trzebielino 7a | 
| Number of electors | 127 | 
| Number of dispensed ballot cards | 88 | 
| Number of valid ballot cards | 88 | 
| Number of votes valid | 84 | 
| Number of votes invalid | 4 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 21-11-2010 23:44 | 
| List no. 18 - KOMITET WYBORCZY WYBORCÓW KWW NASZ PROGRAM GMINA TRZEBIELINO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Tarnowski Igor | 3 | 3,57% | |
| List no. 19 - KOMITET WYBORCZY WYBORCÓW NASZA GMINA TRZEBIELINO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Śmigiel Lidia Janina | 33 | 39,29% | |
| List no. 22 - KOMITET WYBORCZY WYBORCÓW JAROSŁAW MIKOŁAJCZAK | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Mikołajczak Jarosław Michał | 48 | 57,14% | |