 
| gm. Kępno, Precinct no. 12, Constituency no. 3 | |
| Council name | Rada Miejska w Kępnie | 
| Constituency | Constituency no. 3 | 
| Precinct | Precinct no. 12 | 
| Electoral Commission Regional Headquarters | Szkoła Podstawowa, Olszowa | 
| Number of electors | 855 | 
| Number of dispensed ballot cards | 461 | 
| Number of valid ballot cards | 461 | 
| Number of votes valid | 418 | 
| Number of votes invalid | 43 | 
| Number of dispensed ballot cards for plenipotentiaries | 0 | 
| Protocol date | 22-11-2010 00:13 | 
| 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 | Kukuła Zdzisław Marian | 78 | 18,66% | 90,70% | |
| 2 | Połomska Irena | 0 | 0,00% | 0,00% | |
| 3 | Solecki Henryk | 8 | 1,91% | 9,30% | |
| 4 | Majerz Mirosław Adam | 0 | 0,00% | 0,00% | |
| 5 | Pajkert Marian Franciszek | 0 | 0,00% | 0,00% | |
| 6 | Wiśniewski Krzysztof | 0 | 0,00% | 0,00% | |
| 7 | Rachel Paweł Piotr | 0 | 0,00% | 0,00% | |
| 8 | Olejnik Sławomir Jan | 0 | 0,00% | 0,00% | |
| Totalling | 86 | 20,57% | |||
| 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 | Baciński Maciej Franciszek | 0 | 0,00% | 0,00% | |
| 2 | Poźniak Henryk Andrzej | 0 | 0,00% | 0,00% | |
| 3 | Bystra-Van Vals Danuta Anna | 3 | 0,72% | 2,38% | |
| 4 | Kucharzak Edyta | 2 | 0,48% | 1,59% | |
| 5 | Wróbel Grzegorz | 2 | 0,48% | 1,59% | |
| 6 | Leśniarek Krzysztof Franciszek | 1 | 0,24% | 0,79% | |
| 7 | Pastok Danuta Barbara | 113 | 27,03% | 89,68% | |
| 8 | Marczak Wojciech | 1 | 0,24% | 0,79% | |
| 9 | Szpruch Mieczysław | 2 | 0,48% | 1,59% | |
| 10 | Ćwik Piotr Bogusław | 1 | 0,24% | 0,79% | |
| 11 | Mrugała Roman Marek | 0 | 0,00% | 0,00% | |
| 12 | Nowak Piotr Józef | 0 | 0,00% | 0,00% | |
| 13 | Hadryś Krystian | 1 | 0,24% | 0,79% | |
| 14 | Nagięć Zygmunt Andrzej | 0 | 0,00% | 0,00% | |
| Totalling | 126 | 30,14% | |||
| List no. 20 - KOMITET WYBORCZY WYBORCÓW "FORUM SPOŁECZNO-GOSPODARCZE" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Przybył Eugeniusz Stanisław | 8 | 1,91% | 7,77% | |
| 2 | Gollmer Marek Jerzy | 6 | 1,44% | 5,83% | |
| 3 | Goj Jan | 85 | 20,33% | 82,52% | |
| 4 | Urbaniak Stanisław | 0 | 0,00% | 0,00% | |
| 5 | Półkownik Remigiusz Józef | 0 | 0,00% | 0,00% | |
| 6 | Maciuszonek Karolina Maria | 1 | 0,24% | 0,97% | |
| 7 | Poprawa Zofia Józefa | 1 | 0,24% | 0,97% | |
| 8 | Możdżanowska Krystyna | 1 | 0,24% | 0,97% | |
| 9 | Morawiak Marek | 1 | 0,24% | 0,97% | |
| 10 | Michalczyk Mariola Maria | 0 | 0,00% | 0,00% | |
| 11 | Rybczyński Adam Piotr | 0 | 0,00% | 0,00% | |
| 12 | Tomaszewska Danuta | 0 | 0,00% | 0,00% | |
| Totalling | 103 | 24,64% | |||
| List no. 21 - KOMITET WYBORCZY WYBORCÓW AKTYWNI BLIŻEJ CIEBIE | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Paprocka Bożena Anna | 1 | 0,24% | 5,88% | |
| 2 | Jędrzejewska Czesława | 0 | 0,00% | 0,00% | |
| 3 | Zarych Jan | 9 | 2,15% | 52,94% | |
| 4 | Woźna Sylwia Elżbieta | 1 | 0,24% | 5,88% | |
| 5 | Świątek Ewa | 0 | 0,00% | 0,00% | |
| 6 | Frala Karina Natalia | 1 | 0,24% | 5,88% | |
| 7 | Jerczyński Dariusz Tomasz | 5 | 1,20% | 29,41% | |
| Totalling | 17 | 4,07% | |||
| List no. 23 - KOMITET WYBORCZY WYBORCÓW "POROZUMIENIE SAMORZĄDOWE KĘPNO 2010" | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Tęsiorowski Adam Idzi | 4 | 0,96% | 5,19% | |
| 2 | Czworowski Kazimierz | 0 | 0,00% | 0,00% | |
| 3 | Więcek Aleksandra | 4 | 0,96% | 5,19% | |
| 4 | Blabuś Jan Franciszek | 0 | 0,00% | 0,00% | |
| 5 | Góra Barbara Elżbieta | 1 | 0,24% | 1,30% | |
| 6 | Semba Piotr | 66 | 15,79% | 85,71% | |
| 7 | Fita Beata Jadwiga | 0 | 0,00% | 0,00% | |
| 8 | Szmata Stanisław | 1 | 0,24% | 1,30% | |
| 9 | Mielczarek Józef Piotr | 0 | 0,00% | 0,00% | |
| 10 | Nowak Krzysztof Łukasz | 0 | 0,00% | 0,00% | |
| 11 | Młynarczyk Stanisław | 0 | 0,00% | 0,00% | |
| 12 | Gzik Mariola Agata | 0 | 0,00% | 0,00% | |
| 13 | Wojciechowski Janusz Piotr | 0 | 0,00% | 0,00% | |
| 14 | Chotomska Wioletta Ewa | 1 | 0,24% | 1,30% | |
| 15 | Michałkowski Krzysztof Marek | 0 | 0,00% | 0,00% | |
| 16 | Sikora Barbara | 0 | 0,00% | 0,00% | |
| Totalling | 77 | 18,42% | |||
| List no. 24 - KOMITET WYBORCZY WYBORCÓW ANIELI KEMPA | |||||
| No. | Family name and given names | Number of votes | % of valid votes | % of valid votes for the list | |
| 1 | Pawlak Daniel Jerzy | 3 | 0,72% | 33,33% | |
| 2 | Sikora Małgorzata | 1 | 0,24% | 11,11% | |
| 3 | Wierdak Kazimierz Jan | 3 | 0,72% | 33,33% | |
| 4 | Wiśniewski Tomasz Grzegorz | 0 | 0,00% | 0,00% | |
| 5 | Szczepaniak Grzegorz | 0 | 0,00% | 0,00% | |
| 6 | Izydorski Czesław Jan | 2 | 0,48% | 22,22% | |
| Totalling | 9 | 2,15% | |||