Randy,
It's actually designed for the two different configurations (grounding and non-grounding) of our old 5-amp plug standard.
Whereas an NEMA 1-15 plug will fit a 5-15 receptacle, for some peculiar reason the grounding version of the old British Standard 546 plug was designed with the current-carrying pins on a slightly wider spacing than the 2-pin non-grounding version.
The 2-pin, non-grounding plug fits the outlets on the side of the adapter, or into the two middle holes on the front:
The 3-pin, grounding version of the plug fits the bottom holes on the front, with the earth (ground) pin at the very top:
So at any one time this tap can be used for either three non-grounding plugs, or one grounding plug plus two non-grounding types on the sides.