| gm. Czarna Białostocka, Precinct no. 5 |
| Vote on 05-12-2010 | |
| Office | Burmistrz Czarnej Białostockiej |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Wiejski Dom Kultury, ul. Wesoła 26, Czarna Wieś Kościelna |
| Number of electors | 1 176 |
| Number of dispensed ballot cards | 459 |
| Number of valid ballot cards | 459 |
| Number of votes valid | 451 |
| Number of votes invalid | 8 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 05-12-2010 21:34 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 2 | Matejko Tadeusz | 48 | wyższe | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW NIEZALEŻNE FORUM LOKALNE, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 271 | 60,09% | |
| 3 | Sakowicz Jacek | 45 | wyższe | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW "PRZYSZŁOŚĆ", member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 180 | 39,91% | |
| Vote on 21-11-2010 | |
| Office | Burmistrz Czarnej Białostockiej |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Wiejski Dom Kultury, ul. Wesoła 26, Czarna Wieś Kościelna |
| Number of electors | 1 175 |
| Number of dispensed ballot cards | 471 |
| Number of valid ballot cards | 471 |
| Number of votes valid | 462 |
| Number of votes invalid | 9 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 21-11-2010 22:26 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Number of votes | Votes % | |
| 1 | Jarończyk Krzysztof | 44 | średnie | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW O WSPÓLNE DOBRO, not a member of any political party | 13 | 2,81% | |
| 2 | Matejko Tadeusz | 48 | wyższe | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW NIEZALEŻNE FORUM LOKALNE, member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 287 | 62,12% | |
| 3 | Sakowicz Jacek | 45 | wyższe | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW "PRZYSZŁOŚĆ", member of Platformy Obywatelskiej Rzeczypospolitej Polskiej | 158 | 34,20% | |
| 4 | Wołodźko Janina | 62 | wyższe | Czarna Białostocka, submitted by KOMITET WYBORCZY WYBORCÓW NOWOCZESNA GMINA, not a member of any political party | 4 | 0,87% | |