| gm. Koźmin Wielkopolski, Precinct no. 5 |
| Vote on 21-11-2010 | |
| Office | Burmistrz Miasta i Gminy Koźmin Wielkopolski |
| Precinct | Precinct no. 5 |
| Electoral Commission Regional Headquarters | Szkoła Podstawowa Nr 1, ul.Glinki 11, Koźmin Wielkopolski |
| Number of electors | 1 608 |
| Number of dispensed ballot cards | 514 |
| Number of valid ballot cards | 513 |
| Number of votes valid | 498 |
| Number of votes invalid | 15 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 22-11-2010 03:42 |
| No. | Family name and given names | Age | Education | Address, party membership and endorsements | Votes for | Votes against | Votes % | |
| 1 | Bratborski Maciej Krzysztof | 45 | wyższe | Koźmin Wielkopolski, submitted by KOMITET WYBORCZY STOWARZYSZENIE "SAMORZĄDOWA INICJATYWA OBYWATELSKA" W KROTOSZYNIE, not a member of any political party | 450 | 48 | 90,36% | |