| gm. Włoszczowa, Precinct no. 12, Constituency no. 3 | |
| Council name | Rada Miejska we Włoszczowie |
| Constituency | Constituency no. 3 |
| Precinct | Precinct no. 12 |
| Electoral Commission Regional Headquarters | Budynek byłej szkoły podstawowej w Motycznie |
| Number of electors | 421 |
| Number of dispensed ballot cards | 225 |
| Number of valid ballot cards | 225 |
| Number of votes valid | 217 |
| Number of votes invalid | 8 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 01:54 |
| 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 | Ciosek Marek Antoni | 2 | 0,92% | 4,65% | |
| 2 | Skiba Grażyna Ewa | 27 | 12,44% | 62,79% | |
| 3 | Wichrowska Józefa Helena | 1 | 0,46% | 2,33% | |
| 4 | Adamczyk Ryszard Stanisław | 0 | 0,00% | 0,00% | |
| 5 | Karólewska Ewa Justyna | 0 | 0,00% | 0,00% | |
| 6 | Dyksińska Wioletta Zdzisława | 0 | 0,00% | 0,00% | |
| 7 | Klapa Anita Karolina | 12 | 5,53% | 27,91% | |
| 8 | Dynus Zdzisław | 1 | 0,46% | 2,33% | |
| 9 | Stefańska Beata Małgorzata | 0 | 0,00% | 0,00% | |
| Totalling | 43 | 19,82% | |||
| 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 | Kołaczkowski Bogdan Zenon | 1 | 0,46% | 2,04% | |
| 2 | Pakosz Antoni Czesław | 0 | 0,00% | 0,00% | |
| 3 | Rak Zdzisław Jan | 1 | 0,46% | 2,04% | |
| 4 | Pasoń Grażyna Krystyna | 0 | 0,00% | 0,00% | |
| 5 | Koza Henryk | 0 | 0,00% | 0,00% | |
| 6 | Michalik Mieczysław | 3 | 1,38% | 6,12% | |
| 7 | Toborek Robert Stefan | 1 | 0,46% | 2,04% | |
| 8 | Kusa Paweł Piotr | 41 | 18,89% | 83,67% | |
| 9 | Pryt Wiesław | 2 | 0,92% | 4,08% | |
| Totalling | 49 | 22,58% | |||
| List no. 16 - KOMITET WYBORCZY STOWARZYSZENIE "WŁOSZCZOWA-STOP PODZIAŁOM" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Oblas Wacław Józef | 0 | 0,00% | 0,00% | |
| 2 | Bator Roma | 0 | 0,00% | 0,00% | |
| 3 | Wójcik Zofia Anna | 3 | 1,38% | 21,43% | |
| 4 | Świetlik Leon Kazimierz | 0 | 0,00% | 0,00% | |
| 5 | Banaśkiewicz Jolanta Agnieszka | 1 | 0,46% | 7,14% | |
| 6 | Koza Marian Tomasz | 0 | 0,00% | 0,00% | |
| 7 | Kremblewski Piotr | 0 | 0,00% | 0,00% | |
| 8 | Krzyzińska Sylwestra Ewa | 10 | 4,61% | 71,43% | |
| Totalling | 14 | 6,45% | |||
| List no. 18 - KOMITET WYBORCZY SPOŁECZNE POROZUMIENIE SAMORZĄDOWE "RAZEM" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Sztuka Marcin | 3 | 1,38% | 12,00% | |
| 2 | Cuper Dariusz Tomasz | 15 | 6,91% | 60,00% | |
| 3 | Jamróz Leszek Waldemar | 0 | 0,00% | 0,00% | |
| 4 | Dec Wojciech Jan | 0 | 0,00% | 0,00% | |
| 5 | Łączek Benon Stanisław | 0 | 0,00% | 0,00% | |
| 6 | Nicia Sławomir Jan | 0 | 0,00% | 0,00% | |
| 7 | Krawczyk Jarosław Krzysztof | 0 | 0,00% | 0,00% | |
| 8 | Dankowski Waldemar Antoni | 7 | 3,23% | 28,00% | |
| 9 | Kusa Jacek Wojciech | 0 | 0,00% | 0,00% | |
| Totalling | 25 | 11,52% | |||
| List no. 19 - KOMITET WYBORCZY WYBORCÓW POROZUMIENIE PRAWICY | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Rogula Henryk Antoni | 0 | 0,00% | 0,00% | |
| 2 | Bąk Antoni | 3 | 1,38% | 3,49% | |
| 3 | Witczyk Andrzej Józef | 4 | 1,84% | 4,65% | |
| 4 | Małecki Mirosław Stanisław | 3 | 1,38% | 3,49% | |
| 5 | Gąsior Krzysztof | 2 | 0,92% | 2,33% | |
| 6 | Sobczyk Stanisław Marian | 0 | 0,00% | 0,00% | |
| 7 | Klapa Stanisław | 73 | 33,64% | 84,88% | |
| 8 | Rak Dorota Elżbieta | 0 | 0,00% | 0,00% | |
| 9 | Sodo Dorota Beata | 1 | 0,46% | 1,16% | |
| 10 | Cisowski Andrzej Edward | 0 | 0,00% | 0,00% | |
| Totalling | 86 | 39,63% | |||