Consists of an albumen cabinet card photograph taken by James Edward Meddaugh, a white photographer based in Rushville, Nebraska, during a trip to Holy Cross Episcopal Church, Pine Ridge Indian Reservation, likely in the period just prior to the Wounded Knee Massacre. A handwritten caption on the mount reads: "Mr. Cook and his keepers, and some of the church people." The photograph depicts a group of several dozen subjects, most of whom appear to be Lakota people, standing and sitting in front of the church. Reverend Charles Smith Cook (Yankton Sioux, shown far left), is pictured, as are possibly Charles Eastman (Santee Dakota, shown fifth from the left) and Elaine Goodale Eastman (shown at the far right). The other people in the picture are probably the members of the congregation, alongside other missionaries and agency officials, and likely a policeman.