2nd Runner-up larger than 4, and a Country/Territory of israel, and a 4th Runner-up smaller than 0 has which sum of 6th Runner-up?
CREATE TABLE "top_20_countries_by_tally" (
  "rank" real,
  "country_territory" text,
  "miss_world" real,
  "1st_runner_up" real,
  "2nd_runner_up" real,
  "3rd_runner_up" real,
  "4th_runner_up" real,
  "5th_runner_up" real,
  "6th_runner_up" real,
  "semifinalists" real,
  "total" real
);
SELECT SUM("6th_runner_up") FROM "top_20_countries_by_tally" WHERE "2nd_runner_up">4 AND "country_territory"='israel' AND "4th_runner_up"<0;