| gm. Lipsko, Precinct no. 4, Constituency no. 5 | |
| Constituency | Constituency no. 5 |
| Precinct | Precinct no. 4 |
| Electoral Commission Regional Headquarters | Budynek byłego Przedszkola, Śląsko 41, 27-300 Lipsko |
| Number of electors | 55 |
| Number of dispensed ballot cards | 12 |
| Number of valid ballot cards | 12 |
| Number of votes valid | 12 |
| Number of votes invalid | 0 |
| Number of dispensed ballot cards for plenipotentiaries | 0 |
| Protocol date | 15-07-2012 21:58 |
| List no. 1 - KOMITET WYBORCZY WYBORCÓW MŁODE POKOLENIE DLA LIPSKA | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Adamski Grzegorz Paweł | 8 | 66,67% | |
| List no. 2 - KOMITET WYBORCZY WYBORCÓW "KONICZYNKA" | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Chuchała Jan | 0 | 0,00% | |
| List no. 3 - KOMITET WYBORCZY WYBORCÓW NOWE LIPSKO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Lenart Marcin | 1 | 8,33% | |
| List no. 4 - KOMITET WYBORCZY WYBORCÓW WŁADYSŁAWA BAJKOWSKIEGO | ||||
| No. | Family name and given names | Number of votes | % of valid votes | |
| 1 | Bajkowski Władysław Piotr | 3 | 25,00% | |