| gm. Jasienica, Precinct no. 12, Constituency no. 4 | |
| Council name | Rada Gminy Jasienica |
| Constituency | Constituency no. 4 |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Dom Strażaka w Międzyrzeczu Dolnym |
| Number of electors | 836 |
| Number of dispensed ballot cards | 364 |
| Number of valid ballot cards | 364 |
| Number of votes valid | 329 |
| Number of votes invalid | 35 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 23:56 |
| 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 | Zawada Wojciech Jan | 11 | 3,34% | 8,15% | |
| 2 | Osuch Tomasz Stanisław | 35 | 10,64% | 25,93% | |
| 3 | Mroczko Leszek Andrzej | 21 | 6,38% | 15,56% | |
| 4 | Pniok Jarosław Adam | 44 | 13,37% | 32,59% | |
| 5 | Kuś Tadeusz Władysław | 8 | 2,43% | 5,93% | |
| 6 | Łącz Beata Iwona | 4 | 1,22% | 2,96% | |
| 7 | Suława Piotr Paweł | 6 | 1,82% | 4,44% | |
| 8 | Głuc-Mrzyk Maria | 5 | 1,52% | 3,70% | |
| 9 | Łukosz Henryk Augustyn | 1 | 0,30% | 0,74% | |
| Totalling | 135 | 41,03% | |||
| 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 | Kędziora Janusz Stanisław | 13 | 3,95% | 30,95% | |
| 2 | Kawończyk Wiesław | 5 | 1,52% | 11,90% | |
| 3 | Dobija Marek Tadeusz | 19 | 5,78% | 45,24% | |
| 4 | Czerwiakowski Kazimierz Marian | 0 | 0,00% | 0,00% | |
| 5 | Pasierbek Daniel Michał | 2 | 0,61% | 4,76% | |
| 6 | Włodarczyk Paweł Jarosław | 3 | 0,91% | 7,14% | |
| Totalling | 42 | 12,77% | |||
| List no. 25 - KOMITET WYBORCZY WYBORCÓW PRAWO - RODZINA - SAMORZĄD | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Handzel Franciszek Antoni | 5 | 1,52% | 3,29% | |
| 2 | Janiak Tadeusz Bronisław | 1 | 0,30% | 0,66% | |
| 3 | Stroński Edward | 7 | 2,13% | 4,61% | |
| 4 | Durlak Czesław | 0 | 0,00% | 0,00% | |
| 5 | Kopeć Genowefa Krystyna | 125 | 37,99% | 82,24% | |
| 6 | Jurzak Zbigniew Marian | 1 | 0,30% | 0,66% | |
| 7 | Fender Mariusz Waldemar | 13 | 3,95% | 8,55% | |
| Totalling | 152 | 46,20% | |||